Provider Demographics
NPI:1457162505
Name:RUNYON, TOMICHA N
Entity type:Individual
Prefix:
First Name:TOMICHA
Middle Name:N
Last Name:RUNYON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3482 HAZELWOOD AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-5848
Mailing Address - Country:US
Mailing Address - Phone:513-276-0461
Mailing Address - Fax:
Practice Address - Street 1:3482 HAZELWOOD AVE APT 6
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-5848
Practice Address - Country:US
Practice Address - Phone:513-276-0461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker